Individual provider Active NPI

Tammie Kay Arnold, DO

  • Hospitalist Physician
  • Arroyo Grande, CA
National Provider Identifier
1669465878
Registry record updated Apr 13, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
License
20A10023 Issued in CA
Practice address
160 Station Way Unit 1633
Arroyo Grande, CA 93421-5083
Phone
(805) 202-8513
Fax
(805) 270-4337
NPI assigned
Aug 24, 2005
Last updated
Apr 13, 2017By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 13, 2017

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 34006235 OH
Internal Medicine Physician 207R00000X 20A 10023 CA
Hospitalist Physician 208M00000X 20A10023 CA Primary

Addresses

Primary practice location

160 Station Way Unit 1633
Arroyo Grande, CA 93421-5083

Mailing address

160 Station Way Unit 1633
Arroyo Grande, CA 93421-5083
Phone (805) 202-8513

Other identifiers 3

IdentifierTypeStateIssuer
10787925OtherCACAQH PROVIDER NUMBER
2042800MedicaidOH
P00413734OtherOHMEDICARE RAILROAD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080804000655 CA Practitioner - Internal Medicine 3072529072 Reassigns benefits to 1 organization
Practice locations: Arroyo Grande, CA; Atascadero, CA; Morro Bay, CA; San Luis Obispo, CA; Templeton, CA

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
96.07 of 100Reported as individual
Quality
88.78
Improvement activities
40
Cost
74.05

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
20A 10023CAMDInternal Medicine Physician
20A10023CAMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Bucyrus Community Physicians Inc Past Accepting new patients
North Central Ohio Family Care Center, Inc Past Accepting new patients

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/2586/brand/1/csg/1/fhir/r4

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1124841600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1492041600000",
    "number": "1669465878",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "160 STATION WAY UNIT 1633",
            "city": "ARROYO GRANDE",
            "state": "CA",
            "postal_code": "934215083",
            "telephone_number": "805-202-8513",
            "fax_number": "805-270-4337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "160 STATION WAY UNIT 1633",
            "city": "ARROYO GRANDE",
            "state": "CA",
            "postal_code": "934215083",
            "telephone_number": "805-202-8513",
            "fax_number": "805-270-4337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARNOLD",
        "first_name": "TAMMIE",
        "middle_name": "KAY",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-08-24",
        "last_updated": "2017-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "34006235",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "20A 10023",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "CA",
            "license": "20A10023",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH PROVIDER NUMBER",
            "identifier": "10787925",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2042800",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "P00413734",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Arroyo Grande, CA

Sources for this page

Verify at the official NPI Registry.